CLIA lab
CLIA 12D0667779: Hawaii State Doh-Maui District Health Laboratory
Wailuku, HI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 12D0667779 belongs to Hawaii State Doh-Maui District Health Laboratory in Wailuku, HI.
Certificate of Compliance, effective March 10, 2025, expires March 9, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- March 10, 2025
- Certificate expiration
- March 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Public health laboratory
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 12D0667779
- Lab name
- Hawaii State Doh-Maui District Health Laboratory
- Address
- 121 Mahalani St, Wailuku, HI 96793
- Phone
- (808) 984-2131
Annual test volume the lab reported
- Waived tests
- 35
- Other nonwaived tests
- 5
- Total
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wailuku, HI
- Aloha Eye Clinic LTDCertificate of Waiver, Physician office12D2041596
- Aloha Eye Clinic Surgical Center LLCCertificate of Waiver, Ambulatory surgery center12D2099438
- BCP Inc DBA Bayada Home Health CareCertificate of Waiver, Home health agency12D1008823
- Bayada Home CareCertificate of Waiver, Home health agency12D2070546
- Clinical Labs of Hawaii-Maui Memorial HospitalCertificate of Accreditation, Hospital12D0619972
- Community Clinic of Maui IncCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center12D0874244
- Hale Makua Health Services WailukuCertificate of Waiver, Skilled nursing or nursing facility12D0679391
- Hui No Ke Ola Pono, IncCertificate for Provider-Performed Microscopy Procedures, Other12D0887798
- Island Kidney CareCertificate for Provider-Performed Microscopy Procedures, Physician office12D2191496
- Jeffrey H Chester DOCertificate of Waiver, Physician office12D2046004
Related
Questions
What is the CLIA number for Hawaii State Doh-Maui District Health Laboratory in Wailuku?
12D0667779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hawaii State Doh-Maui District Health Laboratory hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 12D0667779 expire?
The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.